Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Professional		$450.00	$450.00	$450.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.73 / $371.73 / $371.73	Professional		$371.73	$371.73	$371.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $643.50 / $643.50 / $643.50	Facility		$643.50	$643.50	$643.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,611.25 / $1,854.90 / $2,545.53	Professional		$1,611.25	$1,854.90	$2,545.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $643.50 / $643.50 / $643.50	Facility		$643.50	$643.50	$643.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.73 / $1,933.50 / $2,945.37	Professional		$371.73	$1,933.50	$2,945.37
United Facility/Professional Professional Modifier Low / Median / High Price $683.94 / $1,052.14 / $1,591.13	Professional		$683.94	$1,052.14	$1,591.13